Individual provider Active NPI

Kathryn McInvale Evans, PA-C

  • Physician Assistant
  • Robins Afb, GA
National Provider Identifier
1689015588
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
6875 Issued in GA
Practice address
655 South 7TH Street BLDG 700/700a
78 MDG Omrs/Sgxo
Robins Afb, GA 31098-3109
Phone
(478) 222-7911
NPI assigned
Jul 9, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 6875 GA Primary

Addresses

Primary practice location

655 South 7TH Street BLDG 700/700a
78 MDG Omrs/Sgxo
Robins Afb, GA 31098-3109

Mailing address

655 South 7TH Street BLDG 700/700a
78 MDG Omrs/Sgxo
Robins Afb, GA 31098
Phone (478) 222-7911

Other practice location 1

1960 247 Connector
Byron, GA 31008-5663
Phone (478) 654-2000

Other identifiers 1

IdentifierTypeStateIssuer
6875OtherGAPHYSICIAN ASSISTANT

Other names 1

  • Ms. Kathryn Lynn McInvale Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130829000192 GA Practitioner - Physician Assistant 5294978847 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
006875GAMDPhysical Therapist
6875GAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Central Georiga Fertility Institute Past Accepting new patients
Linda Munro Psy D PA PastSince Oct 31, 2021 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1373328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1689015588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 SOUTH 7TH STREET BLDG 700/700A",
            "address_2": "78 MDG OMRS/SGXO",
            "city": "ROBINS AFB",
            "state": "GA",
            "postal_code": "31098",
            "telephone_number": "478-222-7911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 SOUTH 7TH STREET BLDG 700/700A",
            "address_2": "78 MDG OMRS/SGXO",
            "city": "ROBINS AFB",
            "state": "GA",
            "postal_code": "310983109",
            "telephone_number": "478-222-7911"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1960 247 Connector",
            "address_purpose": "LOCATION",
            "city": "Byron",
            "state": "GA",
            "postal_code": "310085663",
            "country_code": "US",
            "telephone_number": "478-654-2000",
            "fax_number": "478-825-4444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EVANS",
        "first_name": "KATHRYN",
        "middle_name": "MCINVALE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-09",
        "last_updated": "2023-03-07",
        "certification_date": "2021-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "6875",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN  ASSISTANT",
            "identifier": "6875",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "MCINVALE",
            "middle_name": "LYNN",
            "prefix": "MS.",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Robins Afb, GA

Sources for this page

Verify at the official NPI Registry.